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CONTROVERSIES Inappropriate emphasis – Inappropriate emphasis – Antipsychotics DO have their place Antipsychotics DO have their place Too focused on antipsychotics Too focused on antipsychotics Resources to adopt recommendations Resources to adopt recommendations Medication – a “quick fix”? Medication – a “quick fix”? Pre-testing difficulties Pre-testing difficulties Unlicensed use of all except risperidone Unlicensed use of all except risperidone New worries over BZDs??? New worries over BZDs??? International practice/opinions International practice/opinions “The Hong Kong Physio” “The Hong Kong Physio”

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SUMMARY Challenging behaviours are a message Challenging behaviours are a message Many run their course and stop Many run their course and stop Ensure accuracy of description Ensure accuracy of description Beware physical disorders Beware physical disorders Consider functional psychiatric disorders Consider functional psychiatric disorders ABC ABC Multi-dimensional treatments Multi-dimensional treatments Clarity of planned treatments Clarity of planned treatments Don’t give up on the drugs!!! Don’t give up on the drugs!!!